Organization
UNIVERSITY OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA SHARAB DDS,MS (FACULTY)
(646) 645-4662
Entity
Organization
Contact information
Practice address
708 SUNNY SLOPE TRCE, LEXINGTON, KY 40514-1780
(646) 645-4667
Mailing address
708 SUNNY SLOPE TRCE, LEXINGTON, KY 40514-1780
(646) 645-4662
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
9129
KY
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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